S02_JnA_36C77023Q0329_Knight_allsigned.pdf

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760-23-3-050-1019 -Leavenworth CMOP RESERVOIR/OMNIPOD -(VA-23-00073950)
Solicitation number
36C77023Q0329
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This document is a single source justification for a Department of Veterans Affairs contract. It details the procurement of 800 units of an Omnipod 5 G6 insulin pump system from Insulet Corporation. The item has been prescribed for patients by VA physicians and no substitutions are permitted. The proposed firm-fixed price contract valued at an estimated amount is for a single brand name item to be delivered to the VA CMOP in Leavenworth, Kansas within 10 days after receipt of order. The solicitation number is 36C77023Q0329 for RESERVOIR/OMNIPOD systems to be provided to Leavenworth CMOP under opportunity VA-23-00073950 by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.

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VHAPG Part 813.106 Simplified Acquisition Procedures: Soliciting from a Single Source

Attachment 1: Single Source Justification for SAP under the SAT

DEPARTMENT OF VETERANS AFFAIRS

Justification for "Brand Name" Single Source Awards IAW FAR 13.106-1

For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID: 36C770-23-AP-0639

1. Contracting Activity: Department of Veterans Affairs, NCO 15, National Contracting Office.

2237 # 760-23-3-050-1019, Leavenworth CMOP, Leavenworth, KS

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount:

ITEM

Item MASTER FILE LOCAL STOCK Unit of Packaging

Number NUMBER CMOP LOCATION Descriotion OEM NAME NUMBER I Quantltv Measure Multiple Deliverv Date

0001 19387 VA CMOP Leavenworth - 760 RESERVOIR OMNIPOD 5 G6 IGENSl SCT XL201 lnsulet 08508-3000-21 800 PG 5 10 OavsARO

This is an individual brand name justification to support the procurement of the one (1) Brand Name

Specific Med/Surg item (INSULET, RESERVOIR, OMNIPOD 5 G6 (GENS) SCT, XL201) in the above table. The proposed procurement action will be a firm-fixed-priced contract.

Per the OEM, Omni pod provides non-stop insulin delivery through a tubeless, waterproof insulin pump called a Pod-all with no multiple daily injections. With SmartAdjust™ technology, Omnipod 5 uses your CGM value and trend to automatically increase, decrease, or pause insulin delivery every 5 minutes.

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used:

Product has been prescribed for patients by VA Physicians. Pharmacy employees do not have the training and/or authority to countermand physician orders. Brand Specific products are the same thing as dispense as written on a physician s prescription. No National Drug Code (NDC)/ or specific

Manufacture Part Number (MPN) substitutions are permitted. In the VA, Pharmacy Benefits

Management (PBM) has determined that CMOP IDs in the National Drug File (NDF) will most always identify brand specific products in the VA PRINT NAME. This is not always inclusive where a particular NDC has been determined to be "Formulation specific" by clinical evaluation performed by the PBM or in the case where only one product in the marketplace has been identified to contain the specific ingredients to match the product code.

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